How Do I File a Workers' Compensation Claim?

  1. Complete an Accident and Illness Report (State of MI WC Claim Form)
  2. You may fax the completed form to the Disability Management Office at 517-241-9926.


If 5 or more days of work is missed due to a work related injury or illness, FMLA will also apply to the absence. Use the How Do I Request FMLA Leave? section to obtain required FMLA forms.

Have more questions?
Contact the MCSC-Disability Management Office (DMO) at 877-766-6447.

Related Documents
Accident and Illness Report (State of MI WC Claim Form)